Recognize —Stroke symptoms Reduce —Stroke risk Respond —At the first sign of stroke, CALL...

Recognize—Stroke symptoms

Reduce—Stroke risk

Respond—At the first sign of stroke, CALL 9-1-1 IMMEDIATELY!

© 2011 National Stroke Association

Be Stroke Smart

Fourth leading cause of death in the U.S.795,000 strokes will occur this year133,000 deaths in the U.S. each year1 stroke about every 40 seconds1 death every 4 minutes


Stroke Facts

7,000,000 stroke survivors in the U.S.A leading cause of adult disabilityUp to 80% of all strokes are preventable through

risk factor managementStroke can happen at any ageRisk doubles every decade after age 55


Stroke Facts

Women & Stroke

Stroke kills more than twice as many American women every year as breast cancer

More women than men die from stroke and risk is higher for women due to higher life expectancy

Women suffer greater disability after stroke than menWomen ages 45-54 are experiencing a stroke surge,

mainly due to increased risk factors and lack of prevention knowledge


Well-known Stroke Survivors

President Gerald FordTeddy BruschiSharon StoneDella ReeseKirk DouglasJames Garner


Mary Kay AshCharles SchultzHarry CarayCharles DickensEd KochTed Williams

Sudden brain damageLack of blood flow to the brain caused by a

clot or rupture of a blood vessel

Ischemic = Clot 87% of all strokes

Hemorrhagic = Bleed- Bleeding around brain- Bleeding into brain

Thrombotic

Definition of Stroke

8

Every second 32,000 brain cells die Every minute 1.9 million brain cells die Within 12 minutes 23 million brain cells die

If you waste time, you waste brain cells!Call 9-1-1 immediately!


Stroke is a Brain Attack!

Numbness or weakness of the face, arm or leg, especially on one side of the body

Trouble seeing in one or both eyesSudden confusion, trouble speakingTrouble walking or dizzinessSudden severe headache or confusion

If you, or someone you know, experiences these symptoms,

call 9-1-1 immediately!

Stroke Symptoms


F = FACEAsk the person to smile.

A = ARMAsk the person to raise both arms.

S = SPEECHAsk the person to speak a simple sentence.

T = TIMEIf you observe any of these signs,

call 9-1-1 immediately.

You should, too. Call 9-1-1

Stroke Strikes FAST

Details of Facial Droop

Details of Arm Drift


TIA is a warning sign of a future stroke – up to 40% of TIA patients will have a future stroke

Symptoms are the same as stroke

Symptoms can resolve within minutes or hours (most last 15-30 min. then go away)

Seek immediate medical attention if you suspect that you are having, or have had, a TIA

Transient Ischemic Attack (TIA)


Myth: Is not preventable Cannot be treated

Only strikes elderly Happens in the heart Recovery ends after 6

months

Reality: Up to 80% are preventable Requires emergency

treatment Anyone can have a stroke Stroke is a “Brain Attack” Recovery can last a lifetime

Stroke Myths


Estimated direct and indirect cost of stroke was $73.7 billion in 2010

The mean lifetime cost of ischemic stroke in the U.S. is about $140,048

The Cost of Stroke


How Do You Prevent Stroke?

Recommended Guidelinesfor Reducing Stroke from:

Montana Cardiovascular Health Program &

National Stroke Association


1. Know your blood pressure. Check at least annually. If elevated, work with your healthcare professional to control.

2. Find out if you have atrial fibrillation (Afib) – a type of irregular heartbeat. If you have it, work with your healthcare professional to manage it.

3. If you smoke, stop.

Stroke Prevention Guidelines


4. If you drink alcohol, do so in moderation.

5. Know your cholesterol number. If it is high, work with your doctor to control it.

6. If you have diabetes, follow your doctor’s recommendations carefully to control your diabetes.

Stroke Prevention Guidelines (cont.)


7. Include exercise in your daily routine.

8. Enjoy a lower sodium (salt) and saturated fat diet.

9. If you have circulation problems, work with your healthcare professional to improve your circulation.

10. If you experience any stroke symptoms, call 9-1-1 immediately. Every minute matters!

Stroke Prevention Guidelines (cont.)


Know the Signs of Stroke

ACT Immediately

Call 9-1-1

Stroke Awareness

Clot-busting drug tPA approved for use within 3 hours of symptom onset

tPA is very effective in preventing long-term disabilityOther therapies have proven effective within 6 hours of

onsetOnly 1-3% of stroke victims receive treatment with tPA

in the U.S.


Stroke is Treatable


Ischemic Stroke (brain clot) Clot busting medication: tPA (tissue

plasminogen activator) Clot-removing devices: Merci Retriever,

PenumbraHemorrhagic Stroke (brain bleed)

Clipping Coiling

Acute Stroke Treatments


Reasons for Lack of Treatment

People don’t recognize symptoms

40% of stroke patients can’t name a single sign of stroke or a stroke risk factor

75% of stroke victims misinterpret their symptoms

86% of patients believe that their symptoms aren’t serious enough to seek urgent care


Delay IncreasesPotential Disability

People don’t know the urgencyDenial–don’t want to believe it’s seriousThink nothing can be doneWorry about costThink symptoms will go awayFear or don’t trust hospitals


10% of stroke survivors recover almost completely25% recover with minor impairments40% experience moderate to severe impairments

requiring special care10% require care within either a skilled-care or other

long-term care facility15% die shortly after the stroke

Stroke Recovery


• Physical Therapy (PT) walking, range of movement

• Occupational Therapy (OT) taking care of yourself

• Speech Language Therapy communication skills, swallowing, cognition

• Recreational Therapy cooking, gardening

Types of Stroke Rehabilitation


Daily living skillsDressing and groomingDiet, nutrition and

eating difficultiesSkin care problemsPainSexuality/Intimacy

BehaviorDepression & AngerEmotional LiabilityOne-sided NeglectMemory LossCommunication

Problems

Lifestyle Changes forSurvivors and Caregivers


Rehabilitation unit in the hospitalIn-patient rehabilitation facilityHome-bound therapyHome with outpatient therapyLong-term care facilityCommunity-based programs

Types of Recovery Services

Can YOU namethe Signs of Stroke?

1-800-STROKESwww.stroke.org

1-888-4STROKEwww.strokeassociation.org

Recognize —Stroke symptoms Reduce —Stroke risk Respond —At the first sign of stroke, CALL...

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